NPI 1922871599
Bonnie J Ellis
Practice location
- Address
- 689 Hogan Rd, Bangor, ME 04401-3605
- Phone
- (207) 873-1131
- Fax
- (207) 872-6014
- Mailing address
- 36 Silver St, Waterville, ME 04901-6514
Registered specialties (2)
Orthotist
Primary
Prosthetist
Registry record
- NPI
- 1922871599
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Nov 2023
- Record last updated
- 13 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.